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CASE REPORT
A modified method of occlusion registration in the process of fabricating an implant-supported full-arch fixed restoration in the edentulous mandible
 
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Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
 
 
Submission date: 2025-12-15
 
 
Final revision date: 2026-01-20
 
 
Acceptance date: 2026-03-19
 
 
Publication date: 2026-03-19
 
 
Corresponding author
Piotr Stendera   

Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
 
 
Prosthodontics 2026;76(1):16-24
 
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ABSTRACT
This article presents an original method that modifies the production of an occlusal template for model assembly during prosthetic treatment with a permanent restoration supported on implants for a completely edentulous mandible. A traditional occlusal template (soft tissueborne rim), in the situation of a greater number of implants (6-8) and planning a permanent restoration, is not useful for several reasons (mobility of the rim, soft tissues sensitivity, etc.). The use of the template screwed to implants, made of temporary abutments and a self-curing resin, is described. The precise and stable support of the template on implants enables the unique and reproducible positioning of the models and execution of further laboratory and clinical steps. In the described case a twelve-unit metalfused- to-ceramic fixed restoration supported on eight implants was made without any need for the correction during installation in the patient’s mouth. Optimal occlusal relationship seems to be crucial for the long-term proper function of both the restoration and the implants. A five-year follow-up did not reveal any abnormalities either in the structure of the restoration or in the bone tissue surrounding the implants.
eISSN:2391-601X
ISSN:0033-1783
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